{"id":"https://openalex.org/W2072642285","doi":"https://doi.org/10.1109/syscon.2013.6549900","title":"Moving from systematic treatment to a systemic approach A path for sustainable U.S. healthcare","display_name":"Moving from systematic treatment to a systemic approach A path for sustainable U.S. healthcare","publication_year":2013,"publication_date":"2013-04-01","ids":{"openalex":"https://openalex.org/W2072642285","doi":"https://doi.org/10.1109/syscon.2013.6549900","mag":"2072642285"},"language":"en","primary_location":{"id":"doi:10.1109/syscon.2013.6549900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/syscon.2013.6549900","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2013 IEEE International Systems Conference (SysCon)","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012081695","display_name":"Peter Whitehead","orcid":"https://orcid.org/0000-0002-8017-1269"},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"N. P. Whitehead","raw_affiliation_strings":["Department of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA","Dept. of Syst. & Inf. Eng., Univ. of Virginia, Charlottesville, VA, USA#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"Dept. of Syst. & Inf. Eng., Univ. of Virginia, Charlottesville, VA, USA#TAB#","institution_ids":["https://openalex.org/I51556381"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051468788","display_name":"William T. Scherer","orcid":"https://orcid.org/0000-0002-1069-7898"},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"W. T. Scherer","raw_affiliation_strings":["Department of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA","Dept. of Syst. & Inf. Eng., Univ. of Virginia, Charlottesville, VA, USA#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA","institution_ids":["https://openalex.org/I51556381"]},{"raw_affiliation_string":"Dept. of Syst. & Inf. Eng., Univ. of Virginia, Charlottesville, VA, USA#TAB#","institution_ids":["https://openalex.org/I51556381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9981,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.80204146,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":96},"biblio":{"volume":"2","issue":null,"first_page":"317","last_page":"324"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9919999837875366,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9919999837875366,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.9825000166893005,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.979200005531311,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systems-thinking","display_name":"Systems thinking","score":0.7609097957611084},{"id":"https://openalex.org/keywords/accreditation","display_name":"Accreditation","score":0.7391564846038818},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.7169909477233887},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.7026069760322571},{"id":"https://openalex.org/keywords/core-competency","display_name":"Core competency","score":0.6761913299560547},{"id":"https://openalex.org/keywords/curriculum","display_name":"Curriculum","score":0.5839572548866272},{"id":"https://openalex.org/keywords/medical-education","display_name":"Medical education","score":0.47081953287124634},{"id":"https://openalex.org/keywords/graduate-medical-education","display_name":"Graduate medical education","score":0.46581318974494934},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3764500916004181},{"id":"https://openalex.org/keywords/engineering-management","display_name":"Engineering management","score":0.34041261672973633},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3255913257598877},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.3233473300933838},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.29967132210731506},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.2592514753341675},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.24854952096939087},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.1575053632259369},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.11758032441139221},{"id":"https://openalex.org/keywords/pedagogy","display_name":"Pedagogy","score":0.10530418157577515},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.09360396862030029}],"concepts":[{"id":"https://openalex.org/C27177047","wikidata":"https://www.wikidata.org/wiki/Q269699","display_name":"Systems thinking","level":2,"score":0.7609097957611084},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.7391564846038818},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.7169909477233887},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7026069760322571},{"id":"https://openalex.org/C164065428","wikidata":"https://www.wikidata.org/wiki/Q1201929","display_name":"Core competency","level":2,"score":0.6761913299560547},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.5839572548866272},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.47081953287124634},{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.46581318974494934},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3764500916004181},{"id":"https://openalex.org/C110354214","wikidata":"https://www.wikidata.org/wiki/Q6314146","display_name":"Engineering management","level":1,"score":0.34041261672973633},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3255913257598877},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3233473300933838},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.29967132210731506},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2592514753341675},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.24854952096939087},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1575053632259369},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.11758032441139221},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.10530418157577515},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.09360396862030029},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1109/syscon.2013.6549900","is_oa":false,"landing_page_url":"https://doi.org/10.1109/syscon.2013.6549900","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2013 IEEE International Systems Conference (SysCon)","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.4300000071525574,"id":"https://metadata.un.org/sdg/4","display_name":"Quality Education"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W41615545","https://openalex.org/W1533821889","https://openalex.org/W1793038258","https://openalex.org/W1969228390","https://openalex.org/W1986589307","https://openalex.org/W1997526524","https://openalex.org/W2035130114","https://openalex.org/W2044945592","https://openalex.org/W2048824540","https://openalex.org/W2075169394","https://openalex.org/W2140112671","https://openalex.org/W2176946773","https://openalex.org/W2187790984","https://openalex.org/W2222439507","https://openalex.org/W2276078146","https://openalex.org/W2313953876","https://openalex.org/W2318440564","https://openalex.org/W2321278200","https://openalex.org/W2400520351","https://openalex.org/W4238149961","https://openalex.org/W4255574226","https://openalex.org/W6601686943","https://openalex.org/W6712759747"],"related_works":["https://openalex.org/W1631448561","https://openalex.org/W2123277565","https://openalex.org/W4285156838","https://openalex.org/W2804875090","https://openalex.org/W1997929875","https://openalex.org/W2530006822","https://openalex.org/W4238331626","https://openalex.org/W1977264489","https://openalex.org/W63228145","https://openalex.org/W2065389056"],"abstract_inverted_index":{"In":[0],"1999,":[1],"the":[2,36,43,56,62,96,100,119,123,136,152],"Core":[3],"Competencies,":[4],"a":[5,30,72,145],"curriculum":[6],"for":[7,17,133],"second-year":[8],"medical":[9],"residents":[10],"was":[11,48,128],"published":[12],"by":[13],"The":[14,77],"Accreditation":[15],"Council":[16],"Graduate":[18],"Medical":[19],"Education":[20],"(ACGME)":[21],"in":[22,35,151],"response":[23],"to":[24,51,55,83,94,104,135,148],"safety":[25],"problems,":[26],"poor":[27],"performance":[28],"and":[29,118],"high":[31],"rate":[32],"of":[33,58,65,79,112,122,144],"expenditure":[34],"U.S.":[37,153],"healthcare":[38,101,154],"system.":[39,155],"Systems-based":[40,84,90],"Practice":[41,91],"-":[42,47],"sixth":[44,137],"core":[45,138],"competency":[46,139],"designed":[49],"specifically":[50],"bring":[52],"systems":[53],"thinking":[54],"practice":[57],"specialized":[59],"medicine":[60],"with":[61],"stated":[63],"goal":[64],"providing":[66],"optimal":[67],"healthcare.":[68],"This":[69],"paper":[70],"applies":[71],"systemic":[73],"analysis":[74],"technique":[75],"called":[76],"Dimensions":[78],"Systems":[80],"Thinking":[81],"(DST)":[82],"Practice.":[85],"Thirteen":[86],"years":[87],"after":[88],"publication,":[89],"has":[92],"failed":[93],"have":[95],"desired":[97],"effect":[98],"on":[99],"system":[102,109,124],"due":[103],"improperly":[105],"defined":[106,113],"objectives":[107],"&":[108,115],"boundaries,":[110],"lack":[111],"metrics":[114],"assessment":[116],"procedures":[117],"systematic":[120],"nature":[121],"into":[125],"which":[126],"it":[127],"introduced.":[129],"We":[130],"make":[131],"recommendations":[132],"improvements":[134],"that":[140],"would":[141],"be":[142],"part":[143],"larger":[146],"effort":[147],"achieve":[149],"sustainability":[150]},"counts_by_year":[{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}
